PN ATI Capstone Maternal Newborn

Correct Answer: B

Rationale: Measuring abdominal girth is important in monitoring for signs of abdominal distension, which is a key indicator of worsening necrotizing enterocolitis (NEC). Other interventions include withholding oral feedings and providing IV fluids or nutrition.

Correct Answer: B

Rationale: Late decelerations are caused by uteroplacental insufficiency, indicating that the fetus is not receiving adequate oxygen during contractions. This is an emergency that requires prompt intervention. Changing the client's position helps to improve placental blood flow, which can reduce the stress on the fetus. If the decelerations continue, further interventions, including oxygen administration and notifying the provider, may be necessary.

Correct Answer: B

Rationale: Nasal flaring can indicate respiratory distress and should be reported immediately for further evaluation.

Correct Answer: A

Rationale: Terbutaline is contraindicated in clients with heart disease due to the risk of tachycardia and other cardiac complications associated with beta-agonists.

Correct Answer: A

Rationale: The first action should be to change the client's position, as this can relieve pressure on the umbilical cord and improve fetal oxygenation, addressing the cause of late decelerations.